Isoprinosine may delay disease progression in human immunodeficiency v
irus infection, presumably through modulation of lymphocyte function.
However, the influence of isoprinosine on phagocyte function is largel
y unknown. This study describes the effects of isoprinosine and azidot
hymidine on phagocyte chemiluminescence and migration. Incubation with
isoprinosine concentrations of 250 mu g/ml and above increased the ch
emiluminescence of granulocytes. Random migration of granulocytes was
decreased at isoprinosine concentrations of 50 mu g/ml and higher, but
chemotaxis was not affected. Azidothymidine exerted no effect on the
chemiluminescence or migration of granulocytes. For monocytes, luminol
-enhanced chemiluminescence was reduced at isoprinosine concentrations
of 250 mu g/ml and above, whereas migration was not affected. These f
indings suggest that the immunomodulatory properties of isoprinosine m
ay extend to phagocytic cells. This may be of significance in the trea
tment of immunodeficiency states.